Docstoc

Dysarthria Checklist Louisiana State University

Document Sample
Dysarthria Checklist Louisiana State University Powered By Docstoc
					                                             Dysarthria Checklist
  -------------------------------------------------------------------------------------------------------------------------------

Client:______________________ Date:______________ Clinician:________________


  1. Articulation errors are fairly consistent from one production to another.
                                                                                                        ____________

  2. The majority of articulation errors are omissions or cluster reductions.
                                                                                                        ____________

  3. There is little or no improvement between spontaneous versus elicited versus automatic versus
     imitative speech.
                                                                             ____________

  4. Motivation in terms of instructional emphasis results in better production.
                                                                               ____________

  5. There is an intelligibility problem.
                                                                                                        ____________

                                     Rate from 1 to 5 (1 the poorest & 5 normal)
  -------------------------------------------------------------------------------------------------------------------------------

                                    Spontaneous language                   _________
                                    Tikofsky                               _________
                                    Grandfather passage                    _________
                                    Cookie theft picture                   _________
                                    Automatic speech                       _________
                                    Imitative speech                       _________

  6. Deviant Speech Dimensions
            A. Respiration
                       Shortness of breath                                                                       ______
                       Exerts great effort for speech                                                            ______
                       Asymmetrical movement in respiratory structure                                            ______
                       “Belly in” breathing
                       Compensatory movements during breathing                                                   ______
                       Trouble panting or sniffing                                                               ______
               Forced inspiration/ expiration                            ______
               Audible inspiration or stridor                            ______
               Grunt at end of expiration                                ______
               Abrupt changes in loudness                                ______
               Low intensity during speech                               ______

B. Phonation
               Abrupt change in pitch without change in loudness         ______
               Monopitch                                                 ______
               Voice tremor during speech or simple phonation            ______
               Harsh or hoarse phonation during speech or simple phon.   ______
               Breathlessness during speech or simple phonation          ______
               Strained-strangled voice                                  ______
               Phonation breaks                                          ______

C. Resonance
          Hypernasality during speech                                    ______
          Hypernasality with single words                                ______
          Nasal emission or nasal snorting                               ______
          Drooping velum noted during oral peripheral                    ______

D. Articulation
            Imprecise consonants in single words                         ______
            Imprecise consonants in speech                               ______
            Prolonged phonemes                                           ______
            Distorted vowels                                             ______
            Actual errors                                                ______

E. Prosody
               Rate is too slow or too fast                              ______
               Short rushes of speech at times                           ______
               Tonal features (intonation) inappropriate for context     ______
               Little or no muscle atrophy                               ______
               Muscle stretch reflex increased                           ______
               Overactive sucking reflex                                 ______
               Overactive jaw jerk                                       ______
               Hoffman sign positive                                     ______
               Babinsky sign positive                                    ______

F. Ataxic
               Confirmed medical diagnosis                               ______
               Confirmed by acoustic pattern index                       ______
               Inaccuracy of movement in gait, limb coordination, speech, and/ or
                equilibrium                                               ______
               Terminal crescendo tremor (intention tremor) evident      ______
                          Movements tend to be slow in starting and slow in reaching objective
                                                                      ______
                          Dysrhythmia is present                                   ______
                          Affected muscles are hypotonic                           ______
                          Over-reaching occurs                                     ______
                          Pendulous reflex is present                              ______
                          Jerky irregular eye movements and nystagmus is present ______

          G. Hypokinetic
                    Confirmed medical diagnosis                                     ______
                    Confirmed by acoustic pattern index                             ______
                    Limited range of movement                                       ______
                    General increase in muscle tone/ rigidity                       ______
                    Individual movements are too slow                               ______
                    Difficulty in initiating movements or arrests of movement       ______
                    Resting tremors                                                 ______
                    Stress inappropriate for context or dialect                     ______
                    Pausing inappropriate in context                                ______
                    Duration of vowels inappropriate                                ______
                    Location of pauses are inappropriate for context or dialect     ______

7. Type of Dysarthria and confirmatory signs (there don’t need to be present).
          A. Flaccid
                      Confirmed medical diagnosis                                   ______
                      Confirmed by acoustic pattern index                           ______
                      All movement (reflex, automatic, voluntary) affected          ______
                      Specific cranial nerves involved                              ______
                      Weakness of muscular contraction noted                        ______
                      Individual muscles weakened and noted                         ______
                      Hypotonus (flaccidity) noted                                  ______
                      Atrophy of individual muscles                                 ______
                      Muscle stretch reflex absent                                  ______
                      Fasciculations by be evident                                  ______

          B. Spastic
                          Confirmed medical diagnosis                                ______
                          Confirmed by acoustic pattern index                        ______
                          Weakness or paralysis of movement patterns                 ______
                          Hypertonus (spasticity) particularly near movement initiation
                                                                                      ______
                          Movement is slow                                           ______
                          Limited range of movement                                  ______
                          Abrupt but very fast and limited movement occurs at times (festination)
                                                                                      ______
             Loss of automatic assisting of one hand by the other in skilled acts
                                                                           ______
             Reduction in normal blinking and smiling                     ______
             Loss of normal arm swing during walking                      ______

C. Hyperkinetic
          Confirmed medical diagnosis                                  ______
          Confirmed acoustic pattern index                             ______
          Rapid abnormal involuntary movements occur. These unsustained (tics)
             or briefly sustained (chorea)                              ______
          Slowness of movement is evident                              ______
          Athetosis (repetitive twisting or writhing that slowly blends together) is
             present                                                    ______

D. Mixed Dysarthrias
          Confirmed medical diagnosis                                ______
          Combination of acoustic characteristics from the pattern index
                                                                      ______

E. Specific paralysis
            Confirmed medical diagnosis                                  ______
            Specific portion of the cranial nerve exam noted             ______

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:22
posted:3/16/2011
language:English
pages:4